Vacation Bible School

There will be a $5 discount for each additional child from the same family

Each child must be registered seprately

You will enter your payment amount on the Donation screen by choosing the VBS option

Payments can also be made by cash or check in the church office

Child Information

Childs Name*

Nickname/Preferred name

Child's last grade completed*

Child's age*

Gender*

Allergies (if any)

Medical concerns (if any)

Siblings attending (if any)

Home church/faith community (if any)

Parent/Guardian Information

Parent/Guardian Name*

Address*

,

Cell Phone*(
)
-

Email*

Authorized persons to pick up child

Emergency Contact

Emergency Contact Name*

Emergency Contact Phone Number*

Relationship to child

Other Information

Any other important information we need to know?

Please Note

By registering, you agree to allow photos and/or audio/video recordings to be taken of your child and used for promotional purposes. The likeness of your child may appear on our church Social Media platforms, church website, printed publications and/or in local print and television media. If you DO NOT want the likeness of your child used for said promotional purposes, please speak with the Vaction Bible School Director.